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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Noticed Dark Bubble Patch In The Eye. Underwent Series Of Vitrectomy For Macular Holes. Cause? Explain

I am posting on behalf of my mother who is going through a series of eye issues. Firstly, she has been operated for cataract on both eyes. Within a year after that, her right eye developed stage 4 macular hole. For this she underwent gas bubble vitrectomy in Nov 2012. the surgery was successful as she was careful with the posturing and her hole closed. While she was being diagnosed for macular hole in this eye, many doctors also hinted on stage 2 macular hole in the other (left) eye. However, the OCT showed normal findings.

In Jan 2013, finally her eyesight fell in the suspected eye and she was diagnosed with a macular hole (also stage 4) in the other eye too (the left one). Now as a normal procedure, she underwent gas bubble vitrectomy in this eye too. She was this time not very careful with the posturing (head down). After 3 weeks followup, her OCT showed closure of hole while her bubble was around 50-60 % of original size.Her eye sight was almost recovered.
Now at the end of 4th week, she noticed 2 dark patches on the upper part of eye (around eyelid). This was followed with the bubble spreading all over the eye. Upon visit, the doctor informed that the hole has reopened!!!He was really surprised since this was very rare after 1 month of successful closure though he concluded the lack of posturing must be the reason.
So this time vitrectomy was performed the very next day and silicon oil was used. Doctor also mentioned the gas going through the hole and tearing up the retina too so in addition laser was also used. Her first week followup was satisfactory and the OCT findings show the hole is closed.

--- However, she has noticed that one of the dark bubble 'patch' / 'hair braid like blackish thing' has persisted from the earlier vitrectomy complication. This thing is only becomes visible when she looks sideways and now and disappears when she lifts her eyebrow!. She mentioned to the doctor earlier but he didn't seem to be worried. So now she is almost 10 days post surgery and it is still there. Can you explain? Is it something some one else also experienced?
Thu, 27 Jun 2013
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Ophthalmologist 's  Response
That hair like black thing must be a shadow of some vitreous condensation floating(floaters)...plus it's a silicon oil filled eye. You need not worry if the OCT shows closure of macular hole & there is improvement in the central vision.
Please continue the adviced face down posture.
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Noticed Dark Bubble Patch In The Eye. Underwent Series Of Vitrectomy For Macular Holes. Cause? Explain

That hair like black thing must be a shadow of some vitreous condensation floating(floaters)...plus it s a silicon oil filled eye. You need not worry if the OCT shows closure of macular hole & there is improvement in the central vision. Please continue the adviced face down posture.